Make Artificial Intelligence Real
We help you rethink Healthcare solutions
HiPaaS Core Products
Insurance Payers Solutions
Manage Claims from various Trading partners, Clearing houses. SNIP Level 1-7 validations. 999 and 277CA generation. Claims Status interfaces
Implement all real time transactions with fastet API driven interfaces integrated with QNXT, Facets and Healthedge
Manage inbound and outbound enrollments from state, Medicare and Large groups. Compare with membership data in real time and manage updates
Compare Full file from Medicare, state plans with Membership and identify changes
Implement CMS FHIR Interoperability mandate with easy interfaces to translate EDI data 274, 837 and 834 data. Easy to implement and enable with built in mappings.
Out of box integration wiht Availity Clearing house and QNXT for all transactions
Integrated with HPS enrollments for commercial and group plans to handle multiple coverages.
Hospital Providers Solutions
Reconcile 837 Claims to 835 ERA remittance and Bank files
HETS CMS real time eligibility API, MBI Lookup and FISS/DDE emulator
Collect real time Vitals, Labs and run AI algorithms to manage cases like Sepsis monitoring, mortality rate monitoring, population health and others
Stream real time HL7 data, FHIR resources and APIs
Context and Chat driven Mobile app integrated with MyChart. Helpful to manage telehealth and chat with clinical staff.
Collect and analyze patient data in one Graph repository. Connect all HL7, FHIR and Revenue data together.
Coding validation and claims submission, with AI driven Claims module. Reduce claims rejection. Mapped with Medicare covered vs non covered codesets.
Autoscale with Kubernetes. Deploy on Cloud or On Prem - AWS, Azure adn Google supported
HipaaS Store and retrives healthcare data in Neo4j GraphDB. X12, HL7, FHIR modeling
Support for all Healthcare data formats – EDI, HL7, FHIR, NCDP and more. using Boomi
Everything is Healthcare API. Access any X12, EDI segment or element via API